Provider Demographics
NPI:1891237830
Name:POLLEY, SONJA SMITH (MA, LPC, NCC)
Entity Type:Individual
Prefix:DR
First Name:SONJA
Middle Name:SMITH
Last Name:POLLEY
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 715
Mailing Address - Street 2:
Mailing Address - City:LOGANSPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71049-0715
Mailing Address - Country:US
Mailing Address - Phone:318-906-5060
Mailing Address - Fax:844-270-4571
Practice Address - Street 1:17210 HIGHWAY 5
Practice Address - Street 2:
Practice Address - City:LOGANSPORT
Practice Address - State:LA
Practice Address - Zip Code:71049-3298
Practice Address - Country:US
Practice Address - Phone:318-906-5060
Practice Address - Fax:844-270-4571
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-08
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6717101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional